咨询描述:你好 张医生,我家猫有轻微猫xian一个月了 这几天**康挫药才刚到给他服用,但是不确定是不是这个药的副作用影响 他昨天晚上拉稀水带放屁的声音,拉了2-3次。然后今天早上看到他有吐一点点黄水,饮食和精神都正常。前几天开窗了,也伴着这几天降温,也没有开空调。不知道是因为什么原因导致的
问题大致一样,细节不同?
张贝
执业兽医师
为了更好诊治,我需要近一步了解一些十八的情况。
1.有患处的照片吗?
2.之前有没有尝试过其他药物比如外用药?控制的怎么样
3.近期有没有检查过?比如皮肤检查和肝肾指标的检查
4.距离早上呕吐到现在多久了?有没有再出现腹泻的情况
1.没有呕吐拉稀的照片 他是昨天凌晨的时候拉的 我没有拍照 2.最近除了保健品鱼油猫草片那些以外 就吃了****片吃了三天 在第三天的时候拉稀水了 3. 没有检查 4.到现在12小时左右 期间没有拉过屎也没有吐过
张贝
执业兽医师
抗真菌的药物****,因为是通过肝脏代谢的,所以有肝损伤的风险,但实际临床应用中,在规定的剂量内,每使用一周停药四到七天,有严格遵守停药时间的情况下,较少出现明显的副作用。所以十八目前的情况受凉或者吃坏肚子的情况概率更高。目前有不适的消化道症状,抗真菌的药物就要先停掉,把肠胃调理好再考虑继续使用,目前十八的精神食欲没有异常,呕吐腹泻的出现时间也比较长了12小时没有再出现,可以先口服些益生菌,***之类的调理调理肠胃,观察一到两天。如果患处面积不大,担心出现扩散加重的迹象,可以先用外用药控制,期间戴好脖圈,防止舔药。若没有再吐,腹泻的情况也有好转,那就没什么关系了,如果还有呕吐,腹泻有加重,精神食欲出现异常,肝脏指标包括胰腺炎之类的问题都要进行排查。
张贝
执业兽医师
因为用药后有没有肝脏指标的异常目前不清楚,如果只是小范围的癣菌感染,外用药使用后并没有扩散的迹象或者停一两天后再用宝贝还有继续出现胃肠道的反应,那建议不要再使用了。如果有扩散的迹象外用药效果比较差可以考虑继续使用并配合保肝的药物或者考虑药浴治疗,比如**的药浴**,一周两次。
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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